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Deactivated NPI 1013061019 Deactivated / Inactive NPI Male Practitioner

Dr. Michael B Boccia , PhD

Psychologist • North Port, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Michael Boccia has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 23, 2007
NPI Deactivation Date August 26, 2019
Total Practice Duration ~12 Years of Practice (2007 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Michael Boccia, PhD was a registered Psychologist practicing in North Port, FL. Throughout an active medical career spanning 12 years, Dr. Boccia provided care at the practice location at 12497 SOUTH TAMIAMI TRAIL until profile deactivation on 2019-08-26.

Practice Location & Contact Primary Location

Practice Address

12497 South Tamiami Trail
Suite 9

North Port, FL 34287

Telephone 9418156077
Fax 9414290814

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in North Port, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 25.8 Yrs
Regional Practice Density
2 Specialists

Practicing in North Port, FL (2327 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License NY 0087021

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Nancy Segala , LCSW

Social Worker - Clinical

NPI 1508080854

Licensed Clinical Social Worker

Thomas Glaza , MA, M ED

Counselor - Professional

NPI 1548247968

Master of Arts, Master of Education

Kathleen Newland , MSW

Social Worker - Clinical

NPI 1790806339

Master of Social Work

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated August 26, 2019

Record deactivated on August 26, 2019

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 12497 SOUTH TAMIAMI TRAIL, SUITE 9, NORTH PORT, FL 34287 (Tel: 9418156077)

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Updated Business Mailing Address July 08, 2007

Registered at 1392 RED OAK LANE, PORT CHARLOTTE, FL 33948 (Tel: 9417433265)

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Provider Name / Credentials Updated July 08, 2007

Recorded as MICHAEL BOCCIA, PHD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Psychologist (License #0087021 in NY)

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Initial NPI Registration & Enumeration January 23, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1013061019
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 23, 2007
Last Update: July 08, 2007
Deactivation Date: August 26, 2019

Mailing Address

1392 Red Oak Lane

Port Charlotte, FL 33948

Phone: 9417433265

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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